Croup

Remarkably, croup, also known as laryngotracheobronchitis, is not attributed to a specific virus but rather characterizes a distinct medical condition. It is characterized by a distinctive, harsh cough, often resembling a seal's bark. Croup can be triggered by a variety of pathogens, including parainfluenza, human metapneumovirus, adenovirus, and even influenza. The root cause of the croup's characteristic cough, sometimes accompanied by stridor (a high-pitched sound during inhalation), is the inflammation that occurs around the larynx (vocal cords) and trachea (windpipe). Younger children, due to their narrower airways, are more vulnerable to this condition. Croup symptoms typically worsen at night, which can be a distressing experience for both the child and parents.

In most cases, croup is not severe and can be managed at home. Home remedies include exposure to humidified air, which can be achieved through a humidifier or by taking your child into a steam-filled bathroom. Additionally, a brief exposure to cool night air (ensuring your child is adequately wrapped up) and ensuring your child consumes plenty of fluids can be beneficial. However, if symptoms fail to improve with these measures, it is imperative to seek immediate evaluation by a physician. Medications may be necessary, including steroids and/or epinephrine, which is administered in a mist-like form.

Instances that warrant immediate medical attention, either at our clinic or, if it occurs at night, at a local emergency department or urgent care facility, include:

1. The presence of pronounced stridor, characterized by high-pitched inspiratory breathing sounds.
2. Difficulty swallowing or excessive drooling.
3. Any signs of extreme irritability or agitation.
4. Significant breathing difficulties.
5. A bluish hue around the mouth or nose (perioral cyanosis).
6. A fever approaching 104F.

At Pediatrics & Adolescents Clinic, we are committed to addressing croup and various pediatric health concerns with expertise and compassion, ensuring your child receives the best care and guidance.